HomeMy WebLinkAboutZ-22480FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22480
Date JULY 29~ 1993
THIS CERTIFIES that the buildin~
Location of Property 585 INLET DRIVE
House No.
County Tax Map No. 1000 Section 106
Subdivision
ONE FAMILY DWk~,LING
MATTITUCK~ NEW YORK
Street Hamlet
Block 2
Filed Map No.
Lot 1
Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22480 dated JULY 29~ 1993
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWR. I,LING WITH ACCESSORY GARAGE *
The certificate is issued to STEVEN & AGNES SAWIDES
(owner)
of the aforesaid building,
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDE}~RITERS CERTIFICATE NO. N/A
PLUMII~S CERTIFICATION DATED N/A
*~%SE SEE ATTACHED INSPECTION REPORT.
'-- / Bui ding Inspector
Rev.
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPART}~NT
TOWN OF SOU~IOLD
HOUSING CODE INSPECTION I~PORT
585 INLET DRIVE
(number & street)
MATTITUCK, NEW YORK
(municipaLity
· MAP NO. LOT (s)
.SI~VEN & AGNES SAWlDES
OCCUPANCY A- 1 RES .
OWNER
(type)
ADMI'i-r~D BY:. OWNER
KEY AVAILABLE
SOURCE OF REQUEST:
STEVEN SAVVlBES
(owner-tenant)
ACCOMPANIED BY: SAME
SUFF. CO. TAX MAP NO. 1000-106-2-1
;ATE: JULY 23,
1993
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION ClgiENT BLOCK
TOTAL ROOMS:
BATHROOM (s)
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER
TYPE HEAT OIL
OTHER:
IST FLR. '6
ONE FuLL BATH
FRONT I':-NTR¥. IIN~;LUSEU
2NDFLR.
TOILET ROOM (s)
DECK, TYPE
FIREPLACE
TYPE HEATER
WARM AIR
# STORIES ONE ~ EXITS 2
CELLAR PARTIAL CRAWL SPAC~ PARTIAL
3RD FLR.
ONE
OFF BOILER
UTILITY ROOM
PATIO· TYPE
GARAGE
AIRCONDITIONING
HOTWATER XX
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
S~I~ING POOL
OTHIiR:
I CAR WOOD FRAI~ STORAGE, I¥~g CONST.
· GUEST, TYPE CONST~
ATTACHED TO GARAGE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ,~RT. SEC.
REMARKS:
INSPECTED BY:
DATE ON INSPECTION JULY 28, 1993
TIME START 9:30 END 9:50
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by tYpewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/lO.of l%lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior_to A3r~9~) non-conforming uses, or buildings and
"pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect' signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3.
4.
5.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on ~re-ex~istin~ Building - $100.00
Copy of Certificate of Occupancy - $5.00 6v-~ 5 years - $10.60
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... Z~.~ ~ .~.~. ........................
New Construction ........... Old Or Pre-existing ~uilding .............. ;..
Lo tion Property .... ..... .....
House No. Street Hamlet
Onwer or Owners of Property ..... .~..~.~.~...ZP-CZ4...~f~ ..... .~..~.~1.~.~.~ ......
County Tax Map No 1000, Section ..... /0~ Block. ~ ,Lot.
Subdivision ............................ Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant.. ............................
Health Dept. Approval .......... ~ ............... Underwriters Approval .........................
Planning Board Approval .............
Request for: Temporary Certificate ........... Final Certicate ...........
Young & Young
Riverhead, N.Y.
DRIVE
N. 83*40'E' 74.96
Lot 87
Area= 15226 sq. ft
Araa ' 12285 s~,q' ft.
MONUMENT
JA~. 19~1949 AS EAP~ 167E.
Lot
88
CONSENT
TO
INSPECTION
Owe]er(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
County tax map as District 1000, Section
· which is shown and desiRnated on the Suffolk
Block ~- , Lot /
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
'tion in the Southold Tox~-n Building Inspector's Office for the ~ollowing: __
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary xvith respect to the afcresaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so xwith the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
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